MEDICARE: ALLISON LEVINE MA, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	149012403	IL

General Provider Information

NPI Number	:	1548546872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON LEVINE MA, LCSW

Provider Business Mailing Address
First Line	:	1840 OAK AVE
Second Line	:	SUITE 320
City	:	EVANSTON
State	:	IL
Zip	:	60201-3642
Country	:	US
Telephone Number	:	847-256-7334
Fax Number	:

Provider Business Practice Location Address
First Line	:	3547 N PULASKI RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-3945
Country	:	US
Telephone Number	:	773-542-3618
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2011
Last Update Date	:	04/09/2026

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